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金×,27岁。住院号56141。患者停经25周,腹部迅速增大10余天,1983年1月17日入院。末次月经1932年7月Z日,停经40天时感冒,无发烧,未服药。停经18天时有早期妊娠反应,4个月时有胎动,5个多月开始腹部迅速增大,胀痛,并感胸部不适。幼年时作过双侧直疝手术。其大姑与二姑是双胞胎。检查:体温36.7℃,脉搏104次,血压104/80,心肺听诊正常,腹部膨隆,腹壁紧张,有轻度静脉曲张,双下肢有凹陷性水肿。产科检查:腹围86cm,宫高38cm,胎位不清,胎心未听到,羊水较多。阴道检查:宫颈半消失,宫口开2cm,于子宫后右方可扪及约手拳大表面光滑的囊性肿瘤,无压痛。
Gold ×, 27 years old. Hospital number 56141. Menopause 25 weeks, the abdomen increased rapidly more than 10 days, January 17, 1983 admission. The last menstruation July Z July 1932, menopause 40 days cold, no fever, no medication. 18 days after menopause, early pregnancy reaction, 4 months have fetal movement, more than 5 months began to rapidly increase the abdomen, pain, and chest discomfort. Childhood had bilateral direct hernia surgery. His aunt and soph are twins. Check: body temperature 36.7 ℃, pulse 104 times, blood pressure 104/80, cardiopulmonary auscultation, abdominal bulging, abdominal tension, mild varicose veins, both lower extremity with edema. Obstetric examination: abdominal circumference 86cm, 38cm high, fetal position is unclear, fetal heart not heard, amniotic fluid more. Vaginal examination: Cervical half disappeared, cervix open 2cm, right after the uterus can be palpable about the big hand on the smooth surface of the cystic tumor, no tenderness.